SALICYLIC ACID 10% CREAM,TOP (5312) VA PRODUCT (50.68)

Name	Value
NAME	SALICYLIC ACID 10% CREAM,TOP
VA GENERIC NAME	SALICYLIC ACID
DOSAGE FORM	CREAM,TOP
ACTIVE INGREDIENTS	MINERAL OIL PROPYLENE GLYCOL SALICYLIC ACID STRENGTH: 10 UNITS: % CETYL ALCOHOL SODIUM LAURYL SULFATE OLEIC ACID TRIETHANOLAMINE WAX,WHITE PROPYLPARABEN METHYL PARABEN
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
DSS NUMBER	16
NATIONAL FORMULARY NAME	SALICYLIC ACID CREAM,TOP
CREATE DEFAULT POSSIBLE DOSAGE	YES
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 2 COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	SALICYLIC ACID 10% TOP CREAM
VA PRODUCT IDENTIFIER	S0500
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	GM
MASTER ENTRY FOR VUID	YES
VUID	4005848
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE